DR JEDD RANEY PEDIATRICS LLC (NPI# 1538770698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538770698 |
| Entity Type | Organization |
| Organization Name | DR JEDD RANEY PEDIATRICS LLC |
| Practice Address |
2402 W Pierce St Ste 3c Carlsbad NM 88220-3564 |
| Practice Telephone | 5758870530 |
| Practice Fax Number | 5758856309 |
| Mailing Telephone | 5758870530 |
| Mailing Fax Number | 5758856309 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | DR. JEREMIAH JEDD RANEY (OWNER) |
| Authorized Official Telephone | 5758870530 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 12138720 | 05 | |
| NM | NPI | 1265660633 | 01 |
| Street Address |
2402 W PIERCE ST STE 3C |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-3564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
| 1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
| 1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
| 1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
| 1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
| Find all providers in zip 88220 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649819285 | Direct Urgent Care Inc | Pediatrics | 6971 El Camino Real Ste 101, Carlsbad, CA 92009-4114 | 2019-12-30 |
| 1104222009 | Ramon Rodrigo Godoy | Pediatrics | 3930 Rill Ct, Carlsbad, CA 92010-7088 | 2014-11-05 |
| 1154766129 | Jean Hyung Hwang | Pediatrics | 2176 Salk Ave Ste 200, Carlsbad, CA 92008 | 2013-05-06 |
| 1366721243 | Renu Singhal | Pediatrics | 2845 Torry Ct, Carlsbad, CA 92009 | 2011-08-10 |
| 1265660633 | Jeremiah Jedd Raney | Pediatrics | 2402 W Pierce, #3c, Carlsbad, NM 88220 | 2009-06-24 |
| 1295962686 | Mary Saph Tanaka | Pediatrics | 3257 Camino De Los Coches Ste 202, Carlsbad, CA 92009-8915 | 2009-06-12 |
| 1164609558 | Elizabeth B. Burgamy | Pediatrics | 3257 Camino De Los Coches, Suite 301, Carlsbad, CA 92009-8774 | 2008-01-28 |
| 1730284548 | Srichand Sadhuram Dara | Pediatrics | 110 South Halagueno St, Suite 6, Carlsbad, NM 88220 | 2006-09-14 |
| 1508873001 | David Charles Herz | Pediatrics | 2176 Salk Ave Ste 100, Carlsbad, CA 92008-7346 | 2006-08-01 |
| 1265448112 | Radha Iyengar | Pediatrics | 3050 Madison St, Carlsbad, CA 92008-2310 | 2006-07-31 |
| Find all providers in CARLSBAD | ||||
Please comment or provide details below to improve the information on DR JEDD RANEY PEDIATRICS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.